Ka manawa tonu tātou katoa, tika? Engari kua whakaarohia e tātou te ātaahua me te haumaru o te mahi a ō tātou pūkahukahu i roto i ō tātou uma? I ia wā ka manawa tātou, ka pupuhi, ka heke ō tātou pūkahukahu pērā i te poihau. Ina tupu tēnei, he hipoki tiaki motuhake kei ēnei pūkahukahu e āwhina ana i a rātou ki te neke maeneene me te ngāwari me te kore e mirimiri ki ngā pakitara o roto o te uma. Koinei te mea e kiia nei e tātou ko te 'pleura' i roto i te rongoā. I tēnei rā, me kōrero tātou mō te aha tēnei pleura, āna mahi, me ngā raruraru hauora ka puta.
He aha te pleura i te whakarapopototanga?
Whakaarohia kei te takai koe i tētahi pēke kirihou kia rua. Nā, ko te mea e tupu ana i konei he rite ki te maka i tētahi atu pōro ki roto. He kiriuhi angiangi rawa te pleura, he rite ki te wai . E rua ngā paparanga.
1. Paparanga o roto (Visceral Pleura): Koinei te wāhanga e karapoti tika ana i ō tātou pukahukahu, ngā uaua toto e haere ana ki reira, me ngā io. He rite ki te karapu e piri ana ki tō ringaringa. Ko te mea nui, kāore he io e rongo ana i te mamae i roto i tēnei paparanga.
2. Paparanga o waho (Parietal Pleura): Koinei te wāhanga e piri ana ki te pakitara o roto o te uma, arā, ko ngā rara me ō rātou uaua e pā ana. Engari he maha ngā io e rongo ana i te mamae . Koia te take ina he raruraru ki te pleura, ka tino mamae te uma, nā te mea kua mumura tēnei paparanga o waho.
He wāhi iti kau kei waenganui i ēnei paparanga e rua. Ka kiia e mātou ko te wāhi pleural . Kei roto i tēnei wāhi he paparanga tino angiangi o te wai (te wai pleural) e mahi ana hei hinu whakahinuhinu. Nā tēnei wai ka paheke mārie ēnei paparanga e rua, ina manawa tātou, ina pupuhi hoki i ngā pukahukahu, ā, kāore e pā tetahi ki tetahi. He rite tēnei ki te whakatakoto wai iti ki waenganui i ngā karāhe e rua, ā, ka paheke ngāwari.
Ki te kī māmā noa, ko te mahi matua o te pleura he āwhina i ngā pukahukahu kia whānui, kia kōpiri noa hoki, me te kore he aukati, he waku rānei ina manawa ana.
He aha ngā āhuatanga noa e pā ana ki te pleura?
Engari, he maha ngā āhuatanga ka pāngia e tēnei kiriuhi angiangi, ka uaua ai te manawa me te mamae nui. Me titiro tātou ki ētahi o ngā āhuatanga e tino kitea ana.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te Pleurisy | Koinei te wā ka mumura te pleura. Ko te tikanga ka pupuhi. Ko te tikanga he mate huaketo, he mate kitakita rānei te take. Koinei te wā ka mutu te mahi a te arai maeneene, pahekeheke o te pleura, ā, ka tīmata te mirimiri o ngā paparanga e rua tetahi ki tetahi. Ka puta he mamae koi, he mamae wero ina manawa koe, ina maremare rānei. |
| Te Pupuhi o te Pleural | He nui rawa te wai i roto i te wāhi pleural i kōrerotia e tātou. Ka taea e tēnei wai, e rua tīpune noa iho te rahi, te kohi ki te maha rita. He maha ngā take mō tēnei. Ka kitea tēnei i roto i ngā mate pēnei i te mate manawa, te niumōnia, me te mate pukupuku. Ina kohi te wai, ka pēhia ngā pukahukahu, ā, ka uaua te manawa. |
| Hemothorax | Koinei te wā e kī ana te wāhi pleural i te toto. I te nuinga o te wā ka puta tēnei nā te whara, te aituā rānei o te uma (hei tauira, he aituā motuka, he patunga wero). Ka kohia te toto, ka pēhi i ngā pukahukahu, ka uaua ai te manawa. |
| Pneumothorax | Koinei te urunga mai o te hau ki te wāhi pleural. Ka puta pea tēnei nā te mea he kōhao kei roto i te pukahukahu, i te pakitara uma rānei. Ka puta anō hoki tēnei nā te aituā, i ētahi wā kāore he take (ina koa mō ngā tāngata taitamariki, roa, kikokore e momi hikareti ana). Ina kohia te hau, ka hinga te pukahukahu. |
| Mesothelioma Pleural | He āhua kino rawa tēnei. He āhua matepukupuku e puta ana i roto i te pleura. Ko te tino take o tēnei ko te pānga roa ki tētahi matū e kiia nei ko te asbestos. |
He aha ngā tohu o te pakaru o te pleural?
Whakaarohia kua pāngia koe e te pōro tere e neke ana i tō uma i a koe e tākaro kirikiti ana, kua taka rānei koe i te pahikara. Ka taea e tēnei te kino i te pleura. He maha ngā tohu matua ka pā ki a koe:
- Te mamae nui o te uma:Koinei te tohu matua. Ka tino kaha tēnei mamae ina manawa hōhonu, ina maremare, ina tihe rānei . He maha ngā tāngata e whakaahua ana i tēnei mamae me te mea kei te werohia te uma e tetahi ki te maripi.
- Te Pōrearea o te Manawa: Ka puta te uaua ki te manawa, he āhua mōmona, ina kore e taea e ngā pukahukahu te pupuhi tika.
- Te manawa tere me te poto: Nā te mea kāore e taea e koe te manawa hōhonu i te mamae, ka piki ake tō tere manawa, ā, ka poto noa iho ō manawa.
- Maremare: Tērā pea ka pāngia ētahi tāngata e te maremare maroke.
Ko te mea nui, ki te mamae nui tō uma, me te uaua ki te manawa pēnei i muri i te whara o te uma, kaua e warewarehia . He tohu pea tēnei mō tētahi mate kino.
Āhea koe me toro atu ki te tākuta tonu?
Mena kei a koe tētahi o ngā tohu i raro nei, me haere tonu koe ki te Tari Whawhati Tata (ETU) o te hōhipera tata .
- He mamae ohorere o te uma, he koi, kāore e taea te manawanui.
- He tino uaua te manawa.
- Ngā ngutu, te kiri kikorangi rānei (ko te tikanga kāore te tinana e whiwhi ana i te nui o te hāora).
- Te werawera nui me te ngoikore.
Me pēhea te tautuhi a ngā tākuta i ēnei āhuatanga?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ō tohumate, ā, ka whakarongo ki tō uma mā te whakamahi i te stethoscope. Mēnā he raruraru kei te pleura, ka rongo pea koe i te mirimiri o te pleural i ētahi wā. Hei tāpiri, ka mahi pea ia i ētahi whakamātautau hei whakaū i te āhua tuturu.
- X-ray o te uma: Ka taea e tēnei te tirotiro mēnā he wai, he hau rānei e kohia ana i roto i te wāhi pleural, mēnā rānei he hinganga o te pukahukahu.
- Matawai CT me te Matawai Ultrasound: Ka whakaratohia e ēnei he whakaahua mārama ake, he taipitopito ake i ngā hihi-X. Ka āwhina ēnei ki te tautuhi i te wāhi tika o te raruraru.
- Thoracentesis: Ko te whakamahi i tētahi ngira tino angiangi hei tango i tētahi tauira wai iti mai i te wāhi pleural ka tukuna ki te taiwhanga hei whakamātautau. Ka āwhina tēnei ki te kite i ngā mea pēnei i te mate me te aroaro o ngā pūtau matepukupuku.
- Tirotiro i te uma: Ko te whakaurunga o tētahi ngongo iti kei roto he kāmera ki roto i te uma hei tiro i te pleura me ngā pukahukahu mai i roto. Ka whakamahia hoki tēnei tikanga hei tango tauira kiko (biopsy) mēnā e tika ana.
He aha ngā maimoatanga mō tēnei?
Ka whakawhirinaki te maimoatanga ki tō āhua me tōna kaha.
- Ngā momo rongoā:Mena he mate pāwera, ka hoatu he paturopi, he rongoā rānei hei rongoā. Ka hoatu he rongoā mamae hei whakahaere i te mamae.
- Te tuku hāora: Mēnā he uaua ki te manawa, ka tukuna te hāora.
- Te tango i te wai, i te hau rānei: Mena he nui te wai, te hau rānei kua kohia ki te wāhi pleural, ka whakauruhia he ngira, he ngongo iti rānei (ngongo uma) hei tango.
- Pokanga: I ētahi wā, ka hiahiatia pea te pokanga, inā koa mēnā ka kī tonu te hau, ka puta rānei ētahi atu raruraru.
- Maimoatanga matepukupuku: Mena he matepukupuku te āhua, ka tūtohutia kia whakamahia ngā maimoatanga motuhake pēnei i te radiation therapy me te chemotherapy.
He aha tā tātou e taea ai te pupuri i te hauora o tō tātou pleura?
Ahakoa e kore e taea e tātou te tiaki i a tātou anō i ngā mate katoa, he maha ngā mea ka taea e tātou te mahi hei whakaiti i tō tātou mōrearea.
- Āta karohia te kai hikareti: He hoariri nui te kai hikareti mō ngā pukahukahu me te pleura hoki. He take nui te kai hikareti mō ngā mate pēnei i te pneumothorax.
- Tiakina koe i ngā aituā: Mauria he whitiki nohoanga i ngā wā katoa kei roto koe i te waka. Whakamahia ngā kākahu me ngā taputapu tiaki e tika ana ina takaro hākinakina ana (ina koa ko te whutupōro me te whutupōro).
- Ārai i ngā mate urutā: Horoia ō ringaringa ki te hopi me te wai i ngā wā katoa. Ka āwhina tēnei ki te tiaki i a koe mai i ngā mate urutā maha.
- Kaua e whakamahi i te asbestos: Ka kitea i roto i ngā whare tawhito e whakahoroa ana, me ētahi wheketere hoki. Āta tirohia kia kore e pāngia e ēnei mea.
He rite tō pleura ki te toa puku o te pūnaha manawa. Ka kitea tōna uara ina he raruraru kei roto. Koia te mea nui kia tiakina hoki.
Karere Tangohia ki te Kāinga
- Ko te pleura he kiriuhi tiaki paparua e karapoti ana i ngā pukahukahu.
- Ko te mamae nui o te uma me te uaua ki te manawa i te wā e manawa ana, e maremare ana rānei, koinei ngā tohu matua o te raruraru pleural.
- Ka taea te pakaru o te pleura e ngā whara o te uma, ngā mate urutā, me ētahi mate hauora.
- Ki te puta mai ētahi o ēnei tohu, inā koa i muri i tētahi aituā, kaua e warewarehia , engari me toro atu ki te tākuta tonu .
- Mā te karo i te momi hikareti me te tiaki i a koe anō mai i ngā aituā ka pai ake te hauora o te pleura.
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